[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-107-1-基礎醫學-031","nurse-107-1-basic-medicine-031",107,1,31,"氧合解離曲線發生移動時會引起所謂波爾效應（Bohr effect），這在正常成人生理作用上有何重要意義？",{"A":15,"B":16,"C":17,"D":18},"向左移動促使更多的氧釋出","向右移動促使更多的氧釋出","向左移動不利於氧的結合","向右移動不利於氧的釋出","B",null,[],"本題考點是波爾效應（Bohr effect）對組織供氧的生理意義。依氧合血紅素解離曲線，當組織中二氧化碳增加、pH 下降（酸化）或溫度升高時，曲線向右移，血紅素對氧親和力降低、促使更多氧在組織釋出，故選 B。A、C 稱向左移釋氧或不利結合，方向錯誤（左移是親和力升高、有利結合、不利釋出）；D 稱右移不利釋氧與波爾效應相反。判斷關鍵在於認得「右移＝釋氧、左移＝結氧」。","波爾效應：H⁺、CO₂ 增加使血紅素構型偏向 T 態（低親和力），曲線右移，在代謝旺盛、酸性的組織處卸載更多氧；反之在肺部 CO₂ 排出、pH 回升則左移利於結氧。造成右移的因素可記「CADET, face right」：CO₂↑、Acid（pH↓）、2,3-DPG↑、Exercise、Temperature↑。此為運動與缺氧組織自動增加供氧的精巧設計，也是酸鹼與氧輸送整合的核心考點。",[25,28,30,32],{"term":26,"count":27},"氧合血紅素解離曲線",2,{"term":29,"count":27},"血紅素氧親和力",{"term":31,"count":11},"波爾效應(Bohr effect)",{"term":33,"count":11},"曲線右移",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-basic-medicine-032","肌神經叢（myenteric plexus）位於消化道的何處？",32,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-107-2-basic-medicine-048","40 歲女性，有全身疲倦、輕度發燒及關節僵硬，特別是清晨起床時，左右手指及肘關節。抽血檢查發現有類風濕性因子（rheumatoid factor）。這位女性最有可能罹患下列何者疾病？",48,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-108-1-basic-medicine-062","下列何種藥物，是藉由活化氯離子通道而增加腸道液體的釋放，用於治療慢性便祕？",62,108,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-2-basic-medicine-020","第一心音發生在下列何時？",20,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-2-basic-medicine-064","抗癌藥物中，下列何者有明顯的周邊神經毒性與肝毒性？",64,110,{"webId":59,"stem":60,"number":42,"year":61,"session":11},"nurse-112-1-basic-medicine-048","小兒麻痺病毒（polio virus）所引起的小兒麻痺曾經使人類引以為懼，但自有了疫苗後，對人類的威脅大為減低，對這二個疫苗，下列敘述何者正確？",112,"2026-09-04",1788510701125]